DARRYL WADSWORTH (NPI# 1720686322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720686322 |
| Entity Type | Individual |
| Full Name | DARRYL WADSWORTH |
| Practice Address |
7200 Bancroft Ave Ste 133 Oakland CA 94605-2480 |
| Practice Telephone | 5102545157 |
| Mailing Telephone | 5102545157 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7200 BANCROFT AVE STE 133 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801983960 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2006-10-09 |
| 1720695802 | Jennifer C Lopez | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-09-23 |
| 1700493871 | Daniel C Firpo | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-09-23 |
| 1437761772 | Emerald Sanderlin | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-08-18 |
| 1053939033 | Gloria Morales | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-07-07 |
| 1518589662 | Carol Lynn Davis | Licensed Psychiatric Technician | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-05-12 |
| 1669009726 | Nicole Hans | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-03-26 |
| 1689209017 | Kaya Sha Sibley | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-03-05 |
| 1619519857 | Bradley Polson Bachman | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2019-10-09 |
| 1437614674 | Olga Franco-madaris | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2019-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596044 | Michael Holloway | Case Manager/Care Coordinator | 400 Broadway Fl 3, Oakland, CA 94607-3807 | 2020-07-22 |
| 1073130746 | Anaszsa Thompson | Case Manager/Care Coordinator | 1111 Jackson St, Oakland, CA 94607-4807 | 2020-06-29 |
| 1992321715 | Lorena Gomez-melano | Case Manager/Care Coordinator | 400 Broadway Rm 317, Oakland, CA 94607-3807 | 2020-06-17 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1972127546 | Dystany Leann Kuykendall | Case Manager/Care Coordinator | 1700 Broadway Fl 5 and 9, Oakland, CA 94612-2141 | 2020-05-29 |
| 1497310098 | Marisol Rodriguez-sanchez | Case Manager/Care Coordinator | 6221 E 17th St, Oakland, CA 94621-4107 | 2019-05-08 |
| 1780140723 | Bessie Yazmin Tejada | Case Manager/Care Coordinator | 1904 Franklin St Ste 418, Oakland, CA 94612-2927 | 2019-02-14 |
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1710479746 | Candace Yolanda Kirven-prayer | Case Manager/Care Coordinator | 150 Frank H Ogawa Plz Ste 4340, Oakland, CA 94612-2092 | 2018-06-05 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.